Karakteristik Pasien Efusi Pleura Di Kota Jambi

Abstract

ABSTRACT
 Introduction Pleural effusion is a condition where the fluid either a transudate or an exudate accumulate in pleural cavity. Disease that can cause pleural effusion can be either a malignancy or an inflammatory process. Intratoracal and extratoracal malignancies can cause pleural effusion (malignant pleural effusion / MPE). The aim of this study was to describe the characteristics of patients with pleural effusion and the proportion of malignant pleural effusion in Jambi City.
 Methods This research is a descriptive study with a retrospective approach, was conducted in 138 sample of pleural effusion patients at two hospital Raden Mattaher and H. Abdul Manap Hospital in 2017-2018. The data was taken from the patient's medical record and primary data in the form of cytological examination results.
 Results of this study found that most patients with pleural effusion were at the age 40 - 59 years (52.72%), and more men than women (63.77%). The location of the most common effusion was the right hemithorax (52.9%) and the proportion of malignant pleural effusion was only 32.61%.
 Conclusion Pleural effusion often occurs at the age of 40-59 years with male sex predominant. Most pleural effusions are negative for malignancy, MPE was only 32,61 %.
 Keywords: characteristics, cytology, malignant pleural effusion (MPE) 
 
 ABSTRAK
 Pendahuluan Efusi pleura merupakan keadaan terkumpulnya cairan di dalam rongga pleura, baik itu transudat maupun eksudat. Penyakit yang dapat menyebabkan terjadinya efusi pleura dapat berupa keganasan maupun proses inflamasi. Keganasan intratorakal dan ekstratorakal dapat menimbulkan terjadinya efusi pleura (efusi pleura maligna/EPM). Sampai sekarang belum ada data deskriptif mengenai efusi pleura di kota Jambi. Adapun tujuan penelitian ini mengetahui karakteristik pasien dengan efusi pleura dan proporsi kejadian efusi pleura maligna di Kota Jambi.
 Metode Penelitian ini adalah penelitian deskritif dengan pendekatan retrospektif. Sampel penelitian merupakan pasien efusi pleura di kota Jambi dari dua RS pemerintah yaitu RSUD Raden Mattaher dan RSUD H. Abdul Manap tahun 2017- 2018 sebanyak 138 sampel. Cara pengambilan sampel dalam penelitan yaitu purposive sampling. Data yang diambil adalah data dari rekam medis pasien dan data primer berupa hasil pemeriksaan sitologi
 Hasil penelitian ini mendapatkan pasien efusi pleura paling banyak pada proporsi umur 40 – 59 tahun (52,72 %). Jenis kelamin terbanyak adalah laki-laki dengan 88 pasien (63,77%). Lokasi efusi tersering adalah hemithorak dekstra (52,9 %) dan proporsi kejadian efusi pleura maligna hanya 32,61 %.
 Simpulan Efusi pleura sering terjadi pada usia 40-59 tahun dengan jenis kelamin laki-laki. Sebagian besar efusi pleura adalah negatif maligna, hanya 32,61 % berupa EPM.
 Kata kunci: efusi pleura maligna (EPM), karakteristik, sitologi

Geographical Distribution of Pleural Effusion among Hospitalized Patients in Jember Pulmonary Hospital

“…Gender plays a significant role in a person's quality of life, with men being the most affected by pleural effusion. This is consistent with research conducted in Jambi City, indicating a higher percentage in men compared to women (63.77%) (Adeoye et al, 2017;Dewi & Fairuz, 2020;Khilar & S., 2023). Additional studies support the notion that men have a higher incidence of pleural effusion, especially due to pulmonary tuberculosis, with a percentage of 64.9% (Ampow et al, 2023).…”

“…Pleural effusion is frequently observed in individuals aged 40 to 59 years. Research results indicate that 50.72% of cases occurred within this age group (Dewi & Fairuz, 2020). Another study found that the age group 40 to 59 years had the highest prevalence of pleural effusion, accounting for 58.3% of cases (Hutagalung et al, 2022).…”

“…Another study found that the age group 40 to 59 years had the highest prevalence of pleural effusion, accounting for 58.3% of cases (Hutagalung et al, 2022). Gender also plays a role in pleural effusion, with one study reporting a 63.77% prevalence among men (Dewi & Fairuz, 2020), while another study states that men constitute 64.9% of cases (Ampow et al, 2023). In the preliminary study, analyzing the ten most reported diagnoses in hospitalized patients revealed that pleural effusion ranked second after pneumonia, with 315 cases documented within a year.…”

Kombinasi Deep Breathing Dan Chest Mobility Dalam Meningkatkan Kapasitas Paru Pada Kasus Efusi Pleura

“…Lebih dari 75% Efusi Pleura disebabkan oleh keganasan di paru, payudara, atau ovarium, serta limfoma. (Dewi et al, 2020) Efusi pleura dapat berupa penyebaran dari keganasan yang merupakan manifestasi awal dari keganasan intra atau ekstratoraks yang mendasarinya. Penyebaran langsung sel-sel ganas, invasi dari vaskularisasi paru dengan embolisasi dari sel-sel tumor ke pleura viseralis, atau metastasis jauh hematogen dari tumor ke pleura parietalis.…”

Pleural Fluid Analysis for Diagnostic of Pleural Effusion: a Literature Review

“…Pleural effusion is a condition where fluid accumulates in the pleural cavity in abnormal amounts, either as a result of pleural membrane transudation or excessive exudation as a difficulty arising from multiple medical conditions (Khairani, Syahruddin, and Partakusuma, 2012). Infectious diseases such as tuberculosis, pneumonia, and abscesses, as well as non-infectious diseases such as carcinoma, kidney failure, and pulmonary embolism, can cause pleural effusion (Dewi and Fairuz, 2020). Cases of pleural effusion in the United States are reported to reach 1-1.5 million new cases each year.…”